KATHERINE E BLALOCK (M.D.) – Family Medicine Physician, NPI 1083996177

KATHERINE E BLALOCK (M.D.) is a healthcare provider. based in Bryan, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 0040277 (TX). The NPI Number for KATHERINE E BLALOCK (M.D.) is 1083996177

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE E BLALOCK (M.D.)
NPI
1083996177
Phone
(979) 776-8440
Address
2900 E 29TH ST STE 100
Enumeration Date
14 September 2011
Last Update Date
15 July 2020

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
9797768440
Graduation Year
2011 (15 years ago)
PAC ID
0547582116
Group Practice PAC ID
8224008644
Professional Enrollment ID
I20141210000746
Address ID
TX778022623BR2900XSTXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:14State licenses:2Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for KATHERINE E BLALOCK (M.D.)

  • 2900 E 29TH ST STE 100

    BRYAN, TX 778022623

    Phone: (979) 776-8440

    Type: Mailing

  • 2900 E 29TH ST STE 200

    BRYAN, TX 778022623

    Phone: (979) 776-8440

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $784.

Total Amount is formed as General ($784) + Research ($0) + Ownership ($0) = $784.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Mylan Specialty L.P. ($221).

Total Amount

$784

General + Research + Ownership

Payments

40

Total payment records

General Amount

$784

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-12-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20141210000746IFamily PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,170140$0
99214Established patient office or other outpatient visit, 30-39 minutes356174$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes20268$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes18630$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes6558$0
View full utilization report →

Insurance plans in this area (ZIP 77802)

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Provider's Procedures

KATHERINE E BLALOCK (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX90670Pneumococcal vaccine for injection into muscle1615

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224008644View full group profile
NameSpecialtyState
Nurse PractitionerCA
Certified Nurse Midwife (Cnm)TX
Family PracticeTX
Family PracticeTX
Physician AssistantTX
Clinical Social WorkerTX
P S Y C H I A T R YTX
Family PracticeTX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

What is the 10-digit NPI for KATHERINE E BLALOCK (M.D.)?
KATHERINE E BLALOCK (M.D.) — NPI 1083996177 — is the standard way to identify this listing.
Does the file indicate KATHERINE E BLALOCK (M.D.) is practicing under active NPI?
Directory data currently reports KATHERINE E BLALOCK (M.D.) as active.
What is KATHERINE E BLALOCK (M.D.)'s primary classification?
Family Medicine Physician is the headline specialty for KATHERINE E BLALOCK (M.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for KATHERINE E BLALOCK (M.D.)?
KATHERINE E BLALOCK (M.D.)'s geographic hint is Bryan, Texas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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